<include file="Include:header"/>
<div class="content">
    <div class="decoration"></div>
	<div class="container no-bottom">
        <div class="contact-form no-bottom"> 
            <div class="formSuccessMessageWrap" id="formSuccessMessageWrap">
                <div class="notification-box green-box">
                    <h4>您已经注册成功！</h4>
                    <a href="#" class="close-notification">x</a>
                    <div class="clear"></div>
                    <p>
                        感谢您的注册！<br/>
                        您现在可以关闭页面，回到威信发送消息“绑定+威信号”的形式绑定您的威信与平台。<br/>
                        使用您的威信帐号进入本平台，不再需要注册，感谢您的使用！
                    </p>
                </div>
            </div>
        
            <form action="__URL__" method="post" class="contactForm" id="contactForm">
                <fieldset>
                    <!--<span class="formValidationError" id="contactNameFieldError">-->
                        <!--<div class="small-notification red-notification">-->
                            <!--<p>请输入你的用户名</p>-->
                        <!--</div>-->
                    <!--</span>-->
                    <span class="formValidationError" id="contactEmailFieldError">
                        <div class="small-notification red-notification">
                            <p>请输入你的联系电话（手机）！</p>
                        </div>
                    </span>
                    <span class="formValidationError" id="wx_nameFieldError">
                        <div class="small-notification red-notification">
                            <p>请输入你的威信帐号！</p>
                        </div>
                    </span>
                    <span class="formValidationError" id="contactpasswordField">
                        <div class="small-notification red-notification">
                            <p>请输入你的帐号密码！</p>
                        </div>
                    </span>

                    <span class="formValidationError" id="contactNameFieldError">
                        <div class="small-notification red-notification">
                            <p>请输入你的联系姓名！</p>
                        </div>
                    </span>
                    <span class="formValidationError" id="contactMessageTextareaError">
                        <div class="small-notification red-notification">
                            <p>请输入你的常用地址</p>
                        </div>
                    </span>
                    <!--<div class="formFieldWrap">-->
                        <!--<label class="field-title contactNameField" for="contactNameField">Name:<span>(required)</span></label>-->
                        <!--<input type="text" name="contactNameField" value="" class="contactField requiredField" id="contactNameField"/>-->
                    <!--</div>-->


                    <div class="formFieldWrap">
                        <label class="field-title contactEmailField" for="contactEmailField">您的联系手机（做为登录帐号使用）: <span>(required)</span></label>
                        <input type="text" name="phone" value="" class="contactField requiredField" id="contactEmailField"/>
                    </div>

                    <div class="formFieldWrap">
                        <label class="field-title contactEmailField" for="contactpasswordField">密码: <span>(required)</span></label>
                        <input type="password" name="password" value="" class="contactField requiredField" id="contactEmailField"/>
                    </div>

                    <div class="formFieldWrap">
                        <label class="field-title contactEmailField" for="wx_nameField">威信帐号: <span>(required)</span></label>
                        <input type="text" name="wx_name" value="" class="contactField requiredField" id="wx_nameField"/>
                    </div>

                    <div class="formFieldWrap">
                        <label class="field-title contactEmailField" for="contactNameField">您的联系姓名: <span>(required)</span></label>
                        <input type="text" name="name" value="" class="contactField requiredField" id="contactNameField"/>
                    </div>
                    <div class="formTextareaWrap">
                        <label class="field-title contactMessageTextarea" for="contactMessageTextarea">您的收货地址: <span>(required)</span></label>
                        <textarea name="address" class="contactTextarea requiredField" id="contactMessageTextarea"></textarea>
                    </div>
                    <div class="formSubmitButtonErrorsWrap">
                        <input type="submit" class="buttonWrap button grey contactSubmitButton" id="contactSubmitButton" value="提交注册" data-formId="contactForm"/>
                    </div>
                </fieldset>
                <input type="hidden" name="boss_id" value="{$boss_id}"/>
            </form>       
        </div>
    </div>
	<div class="decoration"></div>
</div>
<include file="Include:footer"/>























